Getting the Most out of MIPS Part 1: Maximizing your Quality Performance Category Score

MIPS (Merit-based Incentive Payment) is one of the pathways under MACRA Quality Payment Program  which streamlines multiple quality reporting programs and provides payment adjustments to eligible clinicians based on their performance across four performance categories – Quality, Cost, Improvement Activities and Advancing Care Information. Cost Category is not being scored in 2017. In this 3 part series, we will explore the performance categories and how to optimize your score in each of the categories. Read more ›

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Watch out “Bundling”: Maximize profits through Revenue Cycle

It is not easy as it used to be to manage the financial aspect of any healthcare practices. The providers have to face complex challenges as day to day the Government is changing the rules and regulations. Anyone who is involved in the operational aspect of the medical office or healthcare facility understands that there are many situations that require making educated and rule-based decisions on various factors. Some of them being, use of the medical code bundling and the use of modifiers. Read more ›

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Looking for a better way to Bill? Paperless Billing and collection

There has been a steady rise in the HealthCare revenues from patient’s portion, from the past 7 years. With increasing copays and the rise of high – deductible plans, healthcare consumers have more out-of-pocket costs than ever before. Large and small medical group continue to struggle with collecting money from the patient they’ve owed. For the most medical group the pressure is to strike a balance between resolving patient balance and maintaining patient satisfaction to retain the patient. The smartest way to manage patient payments is to collect more, faster and at less cost with better patient experience. Read more ›

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New Medicare Cards may affect your Billing process!!

Most medical providers genuinely serve to improve their patients’ health. Fraud in healthcare system is identical to any other industry and some fraudsters take precedence to unjustly profit.  Healthcare crooks include patients, payers, employers, vendors, suppliers, and providers.  Orderly crime rings and computer hackers also play roles in committing health care fraud.  Due to this, Medicare has taken initiative to get rid of Social Security Numbers from Medicare CardsRead more ›

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MACRA Proposed Rule – Year 2 Key Takeaways

On 21st June 2017, Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would make changes in the second year of the Quality Payment Program as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). With the proposed rule, CMS aims to simplify the program, especially for small, independent, and rural practices, while ensuring fiscal sustainability and high-quality care within Medicare. Read more ›

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Telehealth and remote patient monitoring using EHR – How digital technology transforming?

There is no doubt that telehealth could potentially increase access to healthcare, decrease travel and improve continuity. People often make mistakes by considering telehealth as a replacement of in-office visits. In other words, in-office visits are the best form of care, but using telehealth is a better alternative than patients not seeing a doctor, at all. Conversely, considering all positive side of telehealth, the biggest is the lack of standardized payment methods. However, healthcare providers are appreciating the outcome of ongoing technological progress by having fewer hospital re-admissions, patient conveniences, better care outcomes, and a more profitable practice. Also, Remote Patient Monitoring systems are an integral part of telehealth implementation. Read more ›

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How iPatientCare stood up to Physician Burnout!!!

Recently, I came across an article about Physician Burnout in one of the HealthCare websites, specified majorly on the amount of stress, a Physician goes through just in a day. It isn’t about ‘not’ going out for an annual Vacation or about ‘not’ going out for a Movie over weekends; but in this busy schedule, there are times when Physicians even forget to have their Breakfast, Lunch or Dinner; there have been weeks that they don’t get to see their families. Read more ›

Posted in EHR, Revenue Cycle Management

MIPS Participation: To Group or Not to Group – That is the Question

MIPS (Merit-based Incentive Payment) is one of the pathway under MACRA Quality Payment Program  which streamlines multiple quality reporting programs and provides payment adjustments to eligible clinicians based on their performance. Under MIPS, you can report as an Individual or a Group. Before you decide to go for Group or Individual, it is important to understand the implications of both. I have already explained in my previous blog how the MIPS eligibility is determined at the Individual level and Group level and its impact on the payment adjustments. Read more ›

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Managing Denial: Proven techniques that get claims paid

The best defense is a good offense” a precept that has been applied in various fields. You have to be attentive when filing claims to insurance to achieve the max first pass acceptance ratio. Your perception that everything was submitted correctly, still leads to scores of reasons for claims to get denied by the insurance. Lack of specificity of codes being used, modifiers not been applied correctly and many more such reasons which might show less in percentage but would out way the overall charges submitted. The American Medical Association reports that between 1.38 percent and 5.07 percent of claims are denied by insurers. Even the best-performing medical practices experience a denial rate of 5 percent, reveals the Medical Group Management Association. Read more ›

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$400 Billion wasted due to RCM inefficiency

Infographic

Due to Medical Billing errors, hundreds of dollars are lost.  The infographics below shows the Technology Enabled Services provided by iPatientCare to assist in improving financial performance so as to receive well deserved long term benefits. Read more ›

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MIPS Financial Calculator